Reinke's edema

Reinke's edema is a medical condition characterized by the swelling of the vocal cords due to fluid accumulation in the Reinke's space, a potential space located between the vocal ligament and the overlying vocal fold mucosa. This condition is also known as polypoid degeneration, edematous hyptertrophy or smoker's voice due to its common occurrence in heavy smokers.

Causes

The primary cause of Reinke's edema is chronic irritation of the vocal cords. This can be due to smoking, GERD, overuse of the voice, and endocrine disorders.

Symptoms

The main symptom of Reinke's edema is a low, rough, hoarse voice. Other symptoms can include dysphonia, dyspnea, and stridor.

Diagnosis

Reinke's edema is diagnosed through a combination of patient history, physical examination, and laryngoscopy. Other diagnostic tools can include stroboscopy, acoustic analysis, and videokymography.

Treatment

Treatment for Reinke's edema can include lifestyle changes, medication, and surgery. Lifestyle changes can include quitting smoking and managing GERD. Medications can include corticosteroids and antibiotics. Surgery, known as microflap surgery, is used in severe cases.

Prognosis

The prognosis for Reinke's edema is generally good with treatment. However, if left untreated, it can lead to permanent voice changes and breathing difficulties.

See also

• Vocal cord
• Laryngoscopy
• Gastroesophageal reflux disease
• Smoking

References

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